MOTOR TAX APPLICATION FOR A NEW VEHICLE

(Please complete the particulars and present this form at the Motor Tax Office with the receipt obtained at registration from NCTS)
APPLICATION: I apply for a licence (Tax Disc) for the vehicle described

A. VEHICLE PARTICULARS C. MOTOR TAX PARTICULARS - TAX CLASS

1. Make (Please tick, as appropriate)

2. Model PRIVATE AGRICULTURAL

TRACTOR
LARGE PUBLIC
3. Further Description/Body Type GOODS SERVICE VEHICLE
Unladen Service capacity
4. Colour/s C 5. Engine Capacity (cc) Weight (kg) (excluding driver)
O
D
E Will vehicle be Yes EXEMPT (state reason)
6. Engine Number used to carry
other people’s No State-Owned
goods for reward?
7. Chassis Number Fire Services

C HACKNEY Diplomatic
8. Engine/Fuel/Power Source/Type O 9. CO2 Emissions (g/km)
D TAXI Driver/Passenger
E with a disability
10. Statistical Code
SMALL DUMPER Other(Please specify)
11. EU Type- M1 Vehicles only Non M1 Vehicles Noise / Emissions Skip Capacity (m3)
Approval
Directive/s
OTHER TAX CLASS
12. Number of seats 13. Number of Windows (Please Specify)

14. Registration Number and Date Day Month Year D. INSURANCE PARTICULARS
of First Registration in the State.
Name of Insurance Company (NOT BROKER)
Receipt No. (where applicable)

Expiry date of insurance certificate under Day Month Year

Road Traffic Act, 1961, as amended
B. OWNER PARTICULARS
BLOCK CAPITALS ONLY
E. MOTOR TAX PERIOD
Mr, Ms, etc.
NON-USE PERIOD (if applicable Complete Declaration overleaf)
First Name(s)
MONTH YEAR MONTH YEAR
Surname to
Company Name ARREARS PERIOD (if applicable)
Address MONTH YEAR MONTH YEAR
to £

MONTH YEAR
TAX DISC From first day of

Town/City Tax Disc Period 3 months £

Required
County (Tick ONE Box) 6 months
Phone No. 12 months Total £

F. CARD PAYMENT OPTIONS

OFFICE USE ONLY
(Please tick, as appropriate)
INS
Cash £ Master Card Visa Amex Laser

CHQ £ Change £ Cardholder Signature:

KG PSV
PO £ Expiry Date:

BD £ Card Account No.:

SB EXNT Other £ G. DECLARATION

Date Received I declare that the particulars given on this form are correct

Disc Letter Date Issued

Signature:

FORM VRT3 (REV 5)

 NOTES [To the completion of the RF100]
Please contact your local Motor Tax Office if you need any assistance completing this form
1. When to use this form
This form may be used to apply for a Motor Tax Disc for a vehicle which has already been registered by the Revenue Commissioners. This form should be
brought or posted to the Motor Tax Office of the District where the vehicle is ordinarily kept.

2. Before completing this form

- Ensure that the REGISTRATION MARK AND NUMBER assigned to the vehicle have ben inserted clearly and legibly at Section A, item 14 on the form.

3. How to complete this form

Section A All the vehicle information in this Section should already have been completed by the motor dealer or the person who paid the Vehicle
Registration Tax (VRT) to the Revenue Commissioners.
Section B If not already completed enter the name and address of the registered owner i.e. the keeper in whose name the vehicle is being licensed (taxed).
In the case of a LEGAL ENTITY, the full and correct legal title must be given, e.g. in the case of a registered company, the name should be stated as per the
Certificate of Incorporation. In the case of a private firm, the name by which it is ordinarily known and the names of the partners must be given, e.g. “John
and Mary Murphy trading as J & M Suppliers”.
Section C Tick the box opposite the Tax Class under which you wish to tax the vehicle. If the class required is not listed, please write the required class in
the box provided. You must provide all required information and include any necessary documentation as detailed in Note 4 below. IMPORTANT See tax
class definitions at you local Motor Tax Office and ensure that the vehicle is eligible to be taxed in the class selected.
Section D Enter details of your Insurance i.e. Name of Insurer, Policy No. and Date of Expiry of cover - Your insurance must be current when the tax disc
comes into force and the Insurance must be appropriate to the declared use of the vehicle.
Section E First Licence (Tax Disc) - Liability for Motor Tax
(i) Road Tax liability arises from the date the vehicle is first used in a public place after registration with the Revenue Commissioners. If you application for
motor tax does not commence from the date of registration because of non-use of the vehicle in a public place, this must be covered in the application.
(See (ii)). Motor Tax Discs are issued for periods of 3, 6 or 12 whole calendar months and are not issued in respect of months already elapsed. Vehicles
with an annual Tax of £129 or less can only be taxed for a 12 month period.
(ii) If you are declaring non-use of the vehicle, you must complete the declaration of non-use below at a Garda Station. Enter the period of non-use in the
boxes provided, starting with the date of registration of the vehicle e.g. if vehicle registered with the Revenue Commissioners in June, 2004, enter as:
06 04
Additional evidence in relation to non-use may also be required by the Motor Tax Office.
(iii) If arrears are due, enter in the boxes the start and end month of the arrears period and the relevant amount of money;
(iv) Insert the commencement month/year and tick the relevant box for the tax disc period required. Insert the amount of the fee and complete the total box.
Section F Complete this section if payment is being made by Credit Card or Debit Card.
Section G The signature on the application must be that of the keeper of the vehicle. (Under section 130 of the Finance Act, 1992, the ‘Owner’ is the ‘Keeper’)

4. What must accompany this form

You MUST include the following:
- Fee - You must include a cheque or postal order for the correct fee, made payable to the appropriate County Council/Corporation and crossed “Motor Tax
Account”. Do not send cash through the post. Contact your local Motor Tax Office for clarification of the appropriate fees and other payment methods.
- In cases where the Goods Tax Class is required and the vehicle does not exceed 1,524 kg unladen weight, a declaration should be made on the
appropriate form available from the Motor Tax Office stating the vehicle will not be used for non-commercial (private) purposes. A weight docket from an
approved weighbridge is required if the vehicle exceeds 1,524 kg unladen weight.
- PSV (plate) Licence - only applies to public service vehicles
- Article 60 licence - only applies to school buses
- Certificate of Exemption (e.g. Certificate of Approval from the Revenue Commissioners for Drivers/Passengers with Disabilities) - only applies to vehicles
exempt from Motor Tax.

5. Change of Ownership Prior to First Taxing

On the sale of the vehicle to a new owner (other than to a motor dealer) the registered owner selling the vehicle must forward this form RF100 and details in
writing of the name/address of the new owner and date of transfer of ownership to the Department of the Environment, Heritage and Local Government,
Shannon, Co. Clare. (If sale is to a motor dealer completed form RF105 must be forwarded)

WARNING - FALSE DECLARATIONS

Any person making a false declaration, or who subsequently fails to notify any changes in the licensing particulars now furnished, including disposal of the
vehicle, is liable to heavy penalties. A licensing authority may require appropriate evidence as to the accuracy of particulars declared.

DECLARATION OF NON-USE - Complete this section at a Garda Station if you are claiming non-use of the vehicle in any public place for any
period between the date of registration and commencement of the tax period.

(i) I declare that the vehicle bearing the registration number has not been used by me or with my consent
in a public place in the period

FROM first day of TO last day of

Month Year Month Year

Signature Date Garda

Station
(ii) The foregoing declaration was completed in my presence by the applicant. Stamp

Garda Signature Date